L.

Intestine
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Spleen
Heart
S. Intestine
RIYUE GB-24 INDICATIONS
Bladder
Sun and Moon • Distention, fullness and pain of the lateral costal re-
Kidney gion, pain of the ribs, epigastric pain, abdominal
Meeting point of the Gall Bladder and Spleen
Pericardium distention, jaundice.
channels
Sanjiao • Vomiting, much spittle, acid regurgitation, hiccup.
Front-Mu point of the Gall Bladder • Sighing with tendency to sadness, heat of the lower
Gall Bladder
abdomen, heat of the hypogastrium, loss of use of the
Liver
LOCATION four limbs.
Conception
On the anterior chest wall, in the seventh intercostal space,
directly below the nipple, 4 cun lateral to the midline.
Governing COMMENTARY

Extra Points According to the Essential Questions6 “The Gall Bladder is

Qimen LIV-14 the upright official from where judgement emanates”.
7th intercostal space
When the characters for sun and moon (the name of this
point) are combined, they form a new character ‘ming’
which means ‘clear’, intelligent’ or ‘to understand’. 'Ming'
describes the quality of judgement emanating from a
healthy Gall Bladder. Riyue GB-24 has traditionally been
ascribed the ability to rectify deficiency patterns of the
Gall Bladder and was indicated as early as the Essential
Questions (with Danshu BL-19) for the treatment of Gall
Bladder deficiency giving rise to indecisiveness, and else-
where for sighing with a tendency to sadness.
Riyue GB-24 was established as the front-mu point of
the Gall Bladder by the time of the Yellow Emperor’s Inner
Classic. Although many centuries later the Great Compen-
dium of Acupuncture and Moxibustion designated Zhejin
GB-23 as the Gall Bladder front-mu point, it is Riyue
GB-24 which has retained this status to the present day.
The term ‘mu’ means to gather or to collect, and the front-
mu points are where the qi of the zangfu gathers and
concentrates on the anterior surface of the body. Riyue
GB-24 is an important point to treat diseases of the Gall
Bladder fu which may derive from the following three
aetologies: i. emotional disharmony results in stagnation
Riyue GB-24
of Liver qi which impairs the circulation of qi in its
LOCATION NOTE interiorly-exteriorly related Gall Bladder channel, and
First locate the costal cartilage of the second rib which is gives rise to distention, fullness and pain of the lateral
level with the sternal angle, locate the second intercostal costal region, sighing and a sensation of heat in the lower
space below it and then locate the seventh intercostal abdomen; ii. disharmony of the Stomach and Spleen
space, five spaces below that. In males the nipple lies in transportation and transformation function leads to accu-
the fourth intercostal space. mulation of dampness which transforms to damp-heat
and ferments in the Liver and Gall Bladder; bile does not
NEEDLING flow and seeps into the muscles and skin giving rise to
Transverse-oblique insertion along the intercostal space, jaundice; iii. Gall Bladder qi invades the Stomach and
0.5 to 1 cun. interferes with its descending function resulting in vom-
Caution: deep or perpendicular needling may induce a iting, acid regurgitation, hiccup and epigastric pain. All
pneumothorax. these three patterns may be encountered in diseases such
as cholecystitis, cholelithiasis and hepatitis.
ACTIONS
Benefits the Gall Bladder and spreads Liver qi COMBINATIONS
Lowers rebellious qi and harmonises the middle jiao • “When a person is frequently indecisive, the Gall
Resolves damp-heat Bladder is deficient. The qi will flow upwards giving
 L. Intestine
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Bladder
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Heart
S. Intestine
rise to a bitter taste in the mouth. To treat this use the
Bladder
Mu and the Shu of the Gall Bladder” [Riyue GB-24
Kidney
and Danshu BL-19] (Essential Questions).
• Sighing with propensity to sadness: Riyue GB-24 and
Pericardium
Shangqiu
Sanjiao SP-5 (Supplementing Life).
• Loss of use of the four limbs: Riyue GB-24, Jiquan
Gall Bladder
HE-1 and Pishu BL-20 (Supplementing Life).
Liver
• Cholecystitis: Riyue GB-24, Burong ST-19, Dannang-
Conception
xue (M-LE-23), Zhigou SJ-6 and Qiuxu GB-40.
Governing
Extra Points